Based on the internationally renowned, long-running Cambridge Anastomosis Workshop this unique and comprehensive intermediate-to-advanced course is presented across four DVDs and contains an accompanying manual. The course covers basic techniques of knotting, instrument handling and stapling, and performing a wide range of bowel, vascular and urological anastomoses by hand, using sutures. The procedures are thoroughly explained and demonstrated on animal material. Common errors are illustrated with methods of correction. There is emphasis on best technique and patient safety throughout. The course is suitable for surgeons at any stage of training, especially those actually performing anastomoses. Anastomoses covered include: • Small bowel: end-to-end and side-to-side • Hand closure of bowel end • Colon: end-to-end and side-to-end • Low colorectal, hand-sewn and stapled • Gastric: pyloroplasty, gastro-jejunostomy and partial gastrectomy • Oesophago-gastric anastomosis • Vascular surgery for trauma • Reconstructive vascular surgery • Abdominal aortic aneurysm grafting • Basic urological anastomoses.
• Multimedia pack covering techniques essential to all trainee surgeons • Extensive video demonstrating techniques, plus manual with explanatory line drawings • Based on successful course run in Cambridge and elsewhere
Contents
Part I. Introduction and Basic Principles: 1. Knotting: i. Types of knots; ii. Hand ties; iii. Instrument ties; 2. Use of needle holder; 3. Suturing; Part II. Basic Bowel Anastomoses: 4. Principles of suturing bowel; 5. Single layer interrupted extra-mucosal anastomosis; 6. End-to-end anastomosis (small or large bowel): i. With rotation; ii. Without rotation; 7. Side-to-side anastomosis; 8. Side-to-end anastomosis: i. Examples; ii. Bowel end closure; iii. Side-to-end ileum to colon anastomosis; Part III. Stomach Anastomoses: 9. Pyloroplasty; 10. Gastro-jejunostomy; 11. Polya type gastrectomy; Part IV. Oesophageal Anastomoses: 12. Examples; 13. Anastomosis to stomach or small bowel; Part V. Colorectal Anastomoses: 14. Essential colorectal anatomy and mobilisation; 15. Anterior resection (colorectal anastomosis) – hand sewn; 16. Anterior resection (low colorectal anastomosis) – hand sewn; 17. Double staple technique for low anterior resection; 18. Double linear staple technique for right hemicolectomy; Part VI. Arterial Anastomoses: 19. Principles of arterial anastomosis and eversion suturing; 20. Arteriotomy closure; 21. Common faults at arteriotomy closure; 22. Patch grafting; 23. End-to-end anastomosis using Dacron prosthesis; 24. End-to-side anastomosis using Dacron prosthesis; 25. End-to-side anastomoses for femoropopliteal bypass; 26. Abdominal aortic aneurysm inlay grafting using parachute technique; Part VII. Urological Anastomoses: 27. General principles and dangers; 28. End-to-end ureteric anastomosis; 29. Protective use of omentum; 30. Reimplantation of ureter into bladder; 31. Bladder flap for ureteric substitution; 32. Bladder closure; Index.
Review
'It gives me great pleasure to endorse the Cambridge Anastomosis Workshop DVDs and handbook. 2012 will be the 31st year of the course [on] which I had the privilege of being a Faculty member on a number of occasions. Running for five days, the course is aimed at surgical trainees who are at the beginning or middle of their training. The response of participants at the end of the course has been extremely positive. All surgeons practising within the abdomen need to know how to undertake an anastomosis as an open procedure, whether they predominantly practice keyhole surgery or not. There is a need for such DVDs both in the developed and under developed world.' Robert Lane, Secretary General, International Federation of Surgical Colleges
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